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Vision - District of Columbia
CareFirst Vision
| Group Size | Group Subscriber Enrollment Form | Group Contract Application |
|---|---|---|
| 2-50 Renewing (Grandfathered/Non-ACA) BlueVision Plus |
CUT5153 | N/A |
| 2-50 (New & Renewing Groups) BlueVision Plus |
SUM2030 | DC/GHMSI/POE (1/13) (for plans effective prior to 5/1/19) DC/GHMSI/DN-VS ONLY/GCA (R. 11/18) (for plans effective 5/1/19 and after) |
| 51+ Groups (New & Returning Groups) BlueVision Plus |
SUM2709 | DC/GHMSI/GCA/LG (1/14) (BP, HB(PPO), & DN-VS Only (for plans effective prior to 5/1/19) ;DC/GHMSI/DN-VS ONLY/GCA (R. 11/18) (for plans effective 5/1/19 and after) |